Preventing Sudden Cardiac Death:

Implementing your school’s Public Access to Defibrillation (PAD) program.

Karen Dean Smith, APRN-BCProject ADAM Tennessee Program Coordinator

Why Be Concerned?

Project S.A.V.E Video

And in Tennessee…

IT’S THE LAW.

Startling Stats• 20-25% of our population in school during the

day in U.S.• SCA - #1 cause of on-campus death in high school

athletes.• 1000 people/day, 2-3 of those are children.• Much higher survival rates in schools with a

trained response team and a practiced plan using CPR and an AED.

• While it can strike those who are sedentary, the risk is up to three times greater in competitive athletes.

Impact

The loss of anyone – child, staff member, or volunteer – is devastating to a school community.

SCA is dramatic and traumatic, both to the victim and observers. Exposure for both should be considered and minimized.

Understanding Sudden Cardiac Arrest Video

Understanding Sudden Cardiac Arrest

What is Sudden Cardiac Arrest?SCA

-Heart suddenly stops beating-Blood not pumped to brain or other vital organs- Victim will die within minutes without CPR and AED

Caused by-underlying cardiac condition -sudden blow to the chest -certain drugs -respiratory distress, stroke, or heart attack -over ½ of SCA incidents in children have genetic cause

American Heart AssociationChain of Survival

• Early recognition of the emergency and activation of the emergency medical services (EMS) system (9-1-1).

• Early bystander cardiopulmonary resuscitation (CPR).

• Early delivery of a shock with a defibrillator.

• Early advanced life support.

A Perfect Response

Respond to a Cardiac Emergency Video

Begins with a Perfect Team

CPR

Automated External Defibrillators

Let’s Practice!

Drill Record• School:_____________________________________________Date:_________________________• TIME DRILL BEGINS:_______________________TIME DRILL ENDS:___________________________• Time victim is discovered and front office called____________________________• Time “Code” called by front office staff___________________________________• First Rescuer responds(check all that apply)• __ Time arrived• __Called for help(vocal)• __Called for help (phone)• __Started CPR• __Ran for help• __Called for AED• __Other___________________• Second Rescuer arrives on scene_______________________________________• Time CPR begins____________________________________________________• CPR started by_____________________________________________________• Did rescuers switch off CPR role every 2 minutes?_________________________• Number of responders_______________________________________________• Time AED arrives___________________________________________________• Time AED fully attached to victim______________________________________• Time of first shock__________________________________________________• Staff member communicates identity of victim to front office_______________• Front office notifies parent/guardian if necessary_________________________• Staff member awaits EMS arrival______________________________________• Staff members perform crowd control__________________________________• • What did rescuers do correctly?• • What could have been done better?• • What was easy to remember?• • What was hard to remember?• • What will you do differently next time?• • Team Members_______________________________________________________________________________

PAD Implementation ChecklistA Comprehensive School Program for Prevention of Sudden Cardiac Death

Name of School and District:___________________________________ o ES o MS o HS o Pvt. AED Coordinator:____________________________________ • A program coordinator is identified, who oversees the overall program.• School has _______ (#) AEDs. We have __ buildings, __ mobile units, ___students, ____staff.• The placement of the AED(s) makes it accessible from any part of the building or campus within 2-3

minutes (either by fast round-trip walk or by staff transporting to victim).• There is a designated emergency response team and• CPR/AED training is updated: annually ? every 2 years? , or (list)• There is a system in place to track CPR/AED training, and identify those who require retraining or practice (including budget or plan for retraining).• All faculty and staff know where the AEDs are located and how to access them.• All faculty and staff have had awareness training on sudden cardiac death (warning signs, recognition,communication procedures, other staff roles, etc.)• We have a communication code (overhead page or other) to notify responders and others in the area thatan incident is occurring. Teachers outside with students carry a communication device.• The device is checked monthly ________, or per manufacturer’s directions. This maintenance check is

documented each time in writing.

PAD Implementation Checklist• We keep a CPR barrier device, scissors, gloves, razor, and towel in a case or pack near or attached to the

AED.• We hold at least an annual AED practice drill to test our emergency plan, communication and emergency

responders.• We have a written policy, procedure or guideline for AED use in the school.• Local EMS has been notified about the specifics of our program.• Student athletes must have completed the TSSAA pre-participation physical form. (If another form is used,

please include a copy. Not required for ES or MS).• If our device has been used, an incident debrief and AED maintenance occurred within 24 hours.• If a device is used for sports events, there is a written emergency action plan for when and how it is to be

used (i.e. for offsite events or if more than one event is occurring at a time).• We have a physician medical director (Check one: local____________ or with AED

company________________)• The following items are not required, but we would like to know if they are in place.• This school has a certified CPR instructor on staff (this is not necessary, but helps maintain the program

more efficiently.)• Students in our school (MS/HS) are taught CPR in the______________ grade or class. • Other community groups that use the school building regularly have been made aware of our AED

program, location of devices, etc.• Other comments about your program:

HOW?

Project ADAM TennesseeKaren Dean Smith, APRN, CoordinatorEast Tennessee Children’s Hospitalkdsmith2@etch.com865-541-8137